タネダ　セキコ   種田　積子    所属   医学部 医学科（東京女子医科大学病院）    職種   准教授
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Renal transplantation between siblings with unrecognized Fabry disease.
掲載誌名	正式名：Transplantation proceedings 略　 称：Transplant Proc ISSNコード：(1873-2623)0041-1345(Linking)
掲載区分	国外
巻・号・頁	45(1),pp.115-8
著者・共著者	Taneda S†, Honda K, Nakajima I, Huchinoue S, Oda H
担当区分	筆頭著者
発行年月	2013
概要	Fabry disease is an X-linked lysosomal storage disease caused by deficiency of the lysosomal hydrolase, α-galactosidase A (α-Gal A). We report a case of a renal transplant recipient with unrecognized Fabry disease who received the allograft from a sibling donor with unrecognized Fabry disease. The recipient began to show a gradual increase of the serum creatinine with mild proteinuria at 3 years after transplantation. Histopathologic examination revealed finely vacuolated podocytes, demonstrated by ultrastructural examination to contain osmophilic myelin bodies. Furthermore, the recipient showed reduced circulating levels of α-Gal A and elevated urinary levels of globotriaosylceramide. These findings indicated that both the recipient and the donor suffered from Fabry disease of the renal variant phenotype. Enzyme replacement therapy (ERT) was initiated in the recipient, which resulted in a slight decrease of serum creatinine. Although mild proteinuria persisted, initiation of ERT in the recipient led to improvement of the renal function.
DOI	10.1016/j.transproceed.2012.10.024
PMID	23375284